NPI | 1194030403 |
---|---|
Doing Business As | POLK WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MARY JO STARK Office Manager 828-894-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2010-08-11 |
Last Update Date | 2010-08-11 |